Yes, I’m not on a pump. I take basal insulin at night (Levemir) to control dawn phenon & another dose of basal in the morning to keep day BG stable. A pump doesn’t have any advantages over injections for this. Guess I’m a freak in that I have no interest in a pump. The additional expense for supplies is one reason & I also can’t stand the thought of something attached me. There are mechanical failures with pumps & as well as problems with injection sites, scar tissue & a host of other issues. Know most everyone who has one loves it, but studies show that people who have good control before pumping don’t show improvement with a pump. My personal theory, & don’t quote me on this, is that many people never counted carbs & matched this to insulin before pumping. It’s a must with a pump. Maybe if they were consistent about counting carbs & knowing thier insulin:carb ratio previously, they would have had better control with injections & it’s the pump that gets the credit:) One thing that’s great about a pump that you can’t duplicate with injections is being able to turn your basal insulin off. This is wonderful for exercising to prevent lows. I eat low carb & don’t take much insulin as a result. Some people on pumps can overdo eating & carbs because they push a button to get more insulin. More carbs=more insulin=more weight gain=more insulin resistance. It can be a vicious cycle.
If I was Type 2, I’d take insulin to save my remaining beta cells & to avoid the side-effects of Type 2 meds. Lows are no fun, but small insulin doses, testing frequently & being careful can prevent most lows. Most Type 2s start out with just slow acting basal insulin before they go to bolus, rapid acting before meals. Whatever it takes to keep BG in the near normal range is worth exploring.
